Validity of retrospective measures of early maltreatment and depressive episodes using the Childhood Experience of Care and Abuse (CECA) instrument - A life-course study of adult chronic depression - 2

Validity of retrospective measures of early maltreatment and depressive episodes using the Childhood Experience of Care and Abuse (CECA) instrument - A life-course study of adult chronic depression - 2
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DOI:
10.1016/j.jad.2007.06.003
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发表时间:
2007-11-01
影响因子:
6.6
通讯作者:
Harvey, Anna L.
Harvey, Anna L.
中科院分区:
医学2区
文献类型:
--
作者:
Brown, George W.;Craig, Tom K. J.;Harvey, Anna L.

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背景资料:先前的一篇论文使用从姐妹对中回顾性收集的数据,报告了持续至少12个月的成人抑郁发作与儿童期虐待的实质性关联[Brown,G.W.,克雷格T. K. J.哈里斯,T.O.汉德利,R.V & Harvey,A. L. 2007 a-本期。使用儿童期护理和虐待经历(CECA)工具开发父母虐待的回顾性访谈措施-成人慢性抑郁症的生命过程研究- 1。J. Affect.混乱doi:10. 2007.05.022]。当考虑任何持续时间的抑郁发作时,风险要小得多。本文认为有多少科学的重量可以放在这些调查结果的怀疑往往表示对儿童和成人数据的回顾性收集。回顾性收集的材料是从5岁以内的成年姐妹对中获得的,包括一个高风险系列(n = 118),其中第一个姐妹被选为可能经历过童年虐待或忽视,以及随机选择的对照系列(n = 90)。目前的年龄在20岁出头到50岁之间。数据收集的半结构化的采访,使用基于评级覆盖广泛的父母的行为和儿童behaviors.Results:一系列的分析未能揭示证据的显着偏见的材料收集有关成人抑郁症或父母虐待。然而,有一些证据不足reporting.Limitations:从这些分析的结论只能判断在程度上的successibility.Conclusions:没有出现建议存在显着的偏见,我们早期的论文的病因学研究结果。有证据表明,一些漏报的早期不良经验和成人抑郁发作,但这是不太可能威胁的结论,父母虐待与成人慢性抑郁发作的联系。(C)2007 Elsevier B. V.保留所有权利。
Background: A previous paper, using data collected retrospectively from sister pairs, reported substantial associations of adult depressive episodes lasting at least 12 months with childhood maltreatment [Brown, G.W., Craig, T.K.J., Harris, T.O. Handley, R.V & Harvey, A.L. 2007a-this issue. Development of a retrospective interview measure of parental maltreatment using the Childhood Experience of Care & Abuse (CECA) instrument - a life-course study of adult chronic depression - 1. J. Affect. Disord. doi: 10. 10 1 6/j.jad.2007.05.022]. Risk was far less when depressive episodes of any duration were considered. This paper considers how much scientific weight can be placed on these findings in the light of doubt often expressed about retrospective collection of childhood and adult data.Methods: The retrospectively gathered material was obtained from adult sister pairs within 5 years of age, comprising a high-risk series (n = 118) where the first sister was selected as likely to have experienced childhood abuse or neglect, and a comparison series (n = 90) where she was selected at random. Current age ranged between early 20s and 50s. Data was collected by semi-structured interviews, using investigator-based ratings covering a wide range of parental behaviour and childhood behaviour.Results: A series of analyses failed to reveal evidence of significant bias in the collection of material about adult depression or parental maltreatment. There was, however, some evidence of under reporting.Limitations: Conclusions from such analyses can only be judged in terms of degree of plausibility.Conclusions: Nothing emerged to suggest the presence of significant bias in the aetiological findings of our earlier paper. There is evidence of some underreporting of both early adverse experience and adult depressive episodes, but this is unlikely to threaten the conclusions drawn about the link of parental maltreatment with adult chronic depressive episodes. (C) 2007 Elsevier B.V. All rights reserved.